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Tennessee rates for HCPCS 0254U

Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a mitochondrial DNA score in euploid embryos, results reported as normal (euploidy), monosomy, trisomy, or partial deletion/duplication, mosaicism, and segmental aneuploidy, per embryo tested

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.29 / $643.66 / $2,072.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.29 / $592.05 / $721.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.71 / $1,001.95 / $1,495.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.29 / $1,635.45 / $2,710.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.05 / $759.05 / $3,658.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,320.75 / $3,605.49 / $3,605.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,780.07 / $3,780.07 / $5,692.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.80 / $455.43 / $759.05